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Ann Vasc Surg. 2012 Oct;26(7):1012.e17-20. doi: 10.1016/j.avsg.2012.02.024.

Endovascular strategy for recanalization of long-segment central vein occlusion with concomitant arteriovenous fistula creation.

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  • 1Division of Vascular Surgery, Stony Brook University Medical Center, Stony Brook, NY 11794-8191, USA.


Recanalization of long-segment central vein flush occlusion in hemodialysis patients has been advocated in lieu of central vein bypass and thoracotomy to restore arteriovenous access availability. We report a challenging case of complex central venous flush occlusion in a 50-year-old woman on hemodialysis who presented with right arm and facial swelling. A concise step-by-step description of endovascular strategy with retrograde and antegrade balloon angioplasty techniques for central vein recanalization with concomitant arteriovenous fistula creation is provided.

Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.

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